University of Technology, Sydney

Staff directory | Webmail | Maps | Newsroom | What's on

92365 Midwifery Practice 4: Complex Labour, Birth and the Puerperium

Warning: The information on this page is indicative. The subject outline for a particular session, location and mode of offering is the authoritative source of all information about the subject for that offering. Required texts, recommended texts and references in particular are likely to change. Students will be provided with a subject outline once they enrol in the subject.

Subject handbook information prior to 2018 is available in the Archives.

UTS: Health
Credit points: 6 cp
Result type: Grade and marks

Description

Students in this subject work in simulated learning environments to learn and develop the requisite midwifery practice skills applicable to women with complex labour, birth and postpartum period. Students engage in midwifery practice and this subject provides opportunity to reflect on their practice. In the midwifery practice setting, students work with midwives and implement care based on clinical decisions developed in collaboration with others. Students are expected to continue with their continuity of midwifery care experiences. The skills acquired for this subject relate to, and are supported by, the concurrent theoretical subject 92363 Complex Labour, Birth and Puerperium.

Subject learning objectives (SLOs)

Upon successful completion of this subject students should be able to:
A. Assess, plan, implement and evaluate practice skills in complex labour, birth and postnatal period (NMBA 6.1.6.2)
B. Demonstrate the ability to undertake midwifery skills in relation to post-operative care and wound healing (NMBA 6.1, 6.2)
C. Effectively document the recognition and management of complex situations (NMBA 1.3)
D. Apply theoretical underpinnings to the skills developed in this subject (NMBA 6.1, 6.2)
E. Demonstrate appropriate competency in midwifery practice (NMBA 6.1, 6.2)
F. Reflect on clinical experiences and provide rationale for care provision (NMBA 6.1, 6.2)
G. Demonstrate appropriate proficiency in medication administration (NMBA 5.5)
H. Continue with midwifery continuity of care experiences (NMBA 4.2)

Teaching and learning strategies

In this subject, students participate in a range of teaching and learning strategies that are designed to assist them to develop understanding and awareness of the issues related to the health and wellbeing women experiencing a complexity during labour, birth or the postpartum period. Exploration and engagement with contemporary, evidence-based care and practice assists in building professional skills and capacity for competency and respectful care for women during labour, birth and the postpartum period.

TUTORIALS AND ONLINE LEARNING MATERIALS
Face-to-face and online tutorials enable students to clarify, discuss and develop critical thinking directly related to womencentred care. Students access online learning resources including videos, professional and social media literature either prior to or in place of face-to-face attendance. Online resources enable students to clarify complex concepts and terminology, and engage with sensitive or confronting topics at their own pace. In particular, all students must undertake the online fetal monitoring program (K2) and the management pf postpartum haemorrhage e-learning program (through the Blood Safe e-Learning Australia). These online activities are then discussed in class to share learning, clinical experiences and personal reflection.

CASE SCENARIOS
Case studies and stories from practice depict women in complex labour, birth and postpartum situations. Students use these scenarios to learn concepts, interpret information and develop creative solutions. Students develop critical thinking through analysis, interpretation of and reflection on issues or situations. For example, students work in groups with a case study from practice and work a simulated shift caring for that woman – including taking handover, performing clinical tasks, making clinical decisions and deciding when to consult or refer. The care provided and the decisions made are documented in simulated clinical records.

CLINICAL SKILLS, COMMUNICATION AND SIMULATION
Students participate in simulated practice of clinical skills used in midwifery practice, including assessment and interventions for women who experience complexities in labour, birth and the postpartum period. Activities include the use of mannequins, teaching staff or other students as simulated women. Students learn and practise clinical and interpersonal skills with case scenarios in the lab setting. These practice scenarios incorporate the development of professional communication skills including consultation and referral to medical colleagues. Practical skills acquisition requires students to participate in their development of clinical skills in midwifery care.

CLINICAL PLACEMENT
In this subject students complete 240 hours of clinical placement experience, including placement in the operating theatres. Under supervision, students provide midwifery care to women and their families within multidisciplinary teams to develop and consolidate their knowledge, skills and attributes.

Content (topics)

Perioperative care

• Pre and post-operative care

• Operating theatres – aseptic technique, gowning and gloving

• Epidural and spinal anaesthesia

• General anaesthetics

• Caesarean section

• Oxygen therapy

• Wound healing and wound dressings

Complex labour and birth

• Vaginal examination – prostaglandin insertion, Bishops Score calculation

• Low vaginal swab, speculum examination

• Intrapartum fetal welfare assessment

• Instrumental birth

Complex postpartum period

• Management of postpartum haemorrhage

• Breastfeeding in complex situations

Quality and safety

• Communication skills

• Clinical handover

• Documentation

• Consultation and referral including escalation of care

• Recognition and response to clinical deterioration

• Recognition of the importance of continuity of care for women with complexities

• National Safety and Quality Health Service Standards

Assessment

Assessment task 1: Reflection on CoMCE

Objective(s):

This assessment task contributes to the development of graduate attribute(s):

.0 and .0

Weight: 50%

Assessment task 2: Plan of Care

Objective(s):

This assessment task contributes to the development of graduate attribute(s):

.0, .0, .0 and .0

Weight: 50%

Assessment task 3: PEP portfolio

Objective(s):

This assessment task contributes to the development of graduate attribute(s):

.0 and .0

Weight: Mandatory task that does not contribute to subject mark

Assessment task 4: Midwifery PEP perf summary

Objective(s):

This assessment task contributes to the development of graduate attribute(s):

.0 and .0

Weight: Mandatory task that does not contribute to subject mark

Assessment task 5: Medication admin assessment

Objective(s):

This assessment task contributes to the development of graduate attribute(s):

.0

Weight: Mandatory task that does not contribute to subject mark

Assessment task 6: Clinical placement

Objective(s):

This assessment task contributes to the development of graduate attribute(s):

.0 and .0

Weight: Mandatory task that does not contribute to subject mark